Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jodie C Wilson, LCSW-R

Individual provider Clinical Social Worker · NPI 1366610735

MS. Jodie C Wilson, LCSW-R is a Clinical Social Worker in Liverpool, New York. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008

Practice location Address checks out

407 Tulip St
Liverpool, NY 13088-4962
Phone: (315) 657-3111
Fax: (315) 451-5557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 079038 (NY)

Record details

NPI number1366610735
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedFebruary 19, 2008
Last updated in NPPESJanuary 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Liverpool